Kayla Bari Penniman, AGPCNP-BC in Guilford, CT

Kayla Bari Penniman, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Guilford, Connecticut. Her current practice location is 5 Durham Rd, Guilford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 453-4444.

Kayla Bari Penniman is licensed to practice in Connecticut (license number 13208) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093550089.

Contact Information

	Kayla Bari Penniman, AGPCNP-BC
	5 Durham Rd, Guilford, CT 06437-2076
	(203) 453-4444
	(203) 458-9477

Map and Direction

Provider's Profile

Full Name	Kayla Bari Penniman
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	5 Durham Rd, Guilford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093550089
Provider Enumeration Date: 07/01/2024
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5193264232
Enrollment ID: I20240903002659

Medical Identifiers

Medical identifiers for Kayla Bari Penniman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093550089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	13208 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kayla Bari Penniman allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Bari Penniman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kayla Bari Penniman, AGPCNP-BC 5 Durham Rd, Guilford, CT 06437-2076 Ph: (203) 453-4444	Kayla Bari Penniman, AGPCNP-BC 5 Durham Rd, Guilford, CT 06437-2076 Ph: (203) 453-4444

Reviews and Comments

Nurse Practitioner Nurses in Guilford, CT

Cassandra Tetrault, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1057 Boston Post Rd Ste 2, Guilford, CT 06437 Phone: 866-389-2727
Mr. Paul Mainella, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1057 Boston Post Rd Ste 2, Guilford, CT 06437 Phone: 203-458-1444
Jody Heffernan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Goose Ln, Guilford, CT 06437 Phone: 203-458-2097
Mrs. Danielle L Deline, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1057 Boston Post Road, Guilford, CT 06437 Phone: 866-389-2727
Meghan Killilea Galli, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1057 Boston Post Rd Ste 2, Guilford, CT 06437 Phone: 203-458-1444
Katherine M. Powell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 753 Boston Post Rd, Guilford, CT 06437 Phone: 203-458-4200

Kayla Bari Penniman, AGPCNP-BC - Medicare Nurse Practitioner in Guilford, CT